Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. SHAVERENCE LAWANDA OUTLAW LRT/CTRS
NPI 1194356170
Social Worker - Clinical in Kernersville, NC

Active since January 29, 2020
1695 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284(336) 515-5000 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2021, Jan 29, 2020 (2 updates tracked since 2020).

About Ms. Shaverence Lawanda Outlaw Lrt/ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHAVERENCE LAWANDA OUTLAW LRT/CTRS (NPI 1194356170) is an individual clinical provider in Kernersville, North Carolina, licensed in North Carolina (P023427) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1194356170
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHAVERENCE LAWANDA OUTLAWCredential: LRT/CTRS
Location Address1695 KERNERSVILLE MEDICAL PKWYKernersville, NC 27284-7159
Mailing Address1695 Kernersville Medical PkwyKernersville, NC 27284-7159 · (336) 515-5000
Sole ProprietorYes
Enumeration DateJanuary 29, 2020
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1194356170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P023427
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedRecreation TherapistTaxonomy 225800000X · License 3879 (NC)
1695 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284

Other Identifiers 2

Other3879NC · Ncbrtl
Other80617Ctrs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Social Worker (Clinical)
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Psychologist
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Psychologist (Clinical)
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Registered Nurse
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Psychologist
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Physician Assistant
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Internal Medicine (Geriatric Medicine)
1695 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaverence Outlaw's NPI number?

The NPI number for Shaverence Outlaw is 1194356170. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Where is Shaverence Outlaw located?

Shaverence Outlaw practices at 1695 Kernersville Medical Pkwy, Kernersville, NC 27284. The listed phone number is (336) 515-5000.

What is Shaverence Outlaw's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shaverence Outlaw was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.